NPI | 1396243119 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY D SHANER Owner, Clinical Director 714-393-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114170) |
Enumeration Date | 2018-01-26 |
Last Update Date | 2018-01-26 |